I hereby give my consent for my child
whose name has been submitted below to participate in American Mathematics
Contest 8 (hereinafter referred to as "AMC8"). I, the undersigned,
hereby release, waive, discharge and covenant not to sue The Gifted in Fremont,
its directors, officers, coordinators, employees, instructors, agents,
volunteers, and the Fremont Unified School District (hereinafter collectively
referred to as "Releasees") from all liability arising out of or in
connection with the above named student's participation in AMC8 or all liability associated with any
and all claims related to the above named student's participation in AMC8, whether caused by the negligence of
Releasees or otherwise, that may be filed on behalf of or for the above named
student.
For the purposes of this Release,
liability means all claims, demands, losses, causes of action, suits or
judgments of any and every kind, whether caused by the negligence of the
Releasees or otherwise, that the above named student or anyone on behalf of the
above named student may have against the Releasees while participating in AMC8 in any way, because of any death,
personal injury or illness, or because of any loss or damage to property that
occurs during the above described activity.
I understand that the Fremont Unified
School District and The Gifted in Fremont do not provide health, medical and disability
benefits or insurance for participants, and release these organizations from
any medical liability incurred as a result of the above named student's
participation in AMC8.
I hereby authorize the volunteers and staff associated with the Fremont Unified
School District and The Gifted in Fremont to act for me according to their best
judgment in any emergency requiring attention. I hereby release, waive,
discharge and covenant not to sue Releasees from any liability arising out of or
related to any first-aid treatment or other medical services rendered in
connection with an emergency for the above named student during the above
described activity. I hereby release, waive, discharge and covenant not to sue
Releasees from any and all liability for injuries or illness the above named
student incurs as a result of his or her participation in AMC8.
I grant and convey to the Fremont
Unified School District and The Gifted in Fremont all right, title, and
interests in any and all photographs, images, video, or audio recordings of the
above named student or voice made by the Fremont Unified School District and
The Gifted in Fremont in connection with the above named student's
participation in AMC8.
I further expressly agree that this
Release is intended to be broad and inclusive as is permitted by the law of the
State of California. I further expressly agree that in the event that any
clause of provision of this Release is deemed invalid, the enforceability of
the remaining provisions of this Release shall not be affected.
I, the undersigned, have read and
voluntarily sign this Release and further agree that no oral representations,
statements or inducements apart from this written Release have been made.
I attest that I am the only person
authorized to access the email address submitted below and that my email
address and therefore my electronic signature are unique to me.
By clicking the I Agree button below, I
am attaching my electronic signature to and agreeing to the terms of this
Release. I understand that if I do not agree to the terms of this Release, I
should click the Cancel button, and discontinue my registration.
By completing this form and affixing my
electronic signature below, I agree to submit the registration form
electronically. I understand and agree that by affixing my electronic signature
below, this registration form will have the same enforceability, validity, and
legal effect as if it were a traditional paper agreement signed by hand.